4sab

This Checklist is designed to serve as a road map for the adhesive bonding of single and multiple units, regardless of the bonding system utilized.

Stage 1: Try-in Restoration

Checkbox  Remove the temporary and CLEAN the tooth (chlorohexidene wash.)

Checkbox  CHECK for the etch (on the internal surfaces of the restoration.)

Checkbox  TRY-IN DRY to check for fit and contour.

Checkbox  STOP! DO NOT Check the occlusion at this time, nor allow the patient to bite- the restoration must be bonded first.

Stage 2: Treat the Restoration

Checkbox  CLEAN with water, etchant and more water.

Checkbox  Apply a coat of SILANE and let air dry.

Checkbox  Apply the UNFILLED RESIN and thin it with a brush.

Checkbox  STORE the restoration in a light protective box.

Stage 3: Treat the Tooth

Checkbox  Place the RUBBER DAM

Checkbox  ETCH the tooth (enamel for 15-seconds; dentin for 10-seconds.)

Checkbox  Apply a WETTING AGENT (Chlorohexidene wash) to the tooth.

Checkbox  Apply multiple coats of PRIMER and air dry.

Checkbox  Apply the BONDING AGENT and thin it with a brush.

Checkbox  Apply the UNFILLED RESIN and thin it with a brush.

Stage 4: Lute Together

Checkbox  MIX the catalyst and base of the luting cement.

Checkbox  SEAT the restoration.

Checkbox  SPOT CURE (for 20 seconds) and thoroughly CLEAN away the excess.

Checkbox  Apply GLYCERIN gel to the margins.

Checkbox  Completely LIGHT CURE the restoration (2 minutes on each aspect).

Checkbox  Make any necessary Occlusal adjustments and FINISHING.

 

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